女子大生における歯科口腔保健に関する行動・学習の現状と各専門教育課程間での比較

Abstract

【目的】 成人期の歯の損失は将来の健康のみならずQOL の低下に関与し、大学生への歯科口腔保健教育は早期予防の観点からも重要である。本研究は歯科口腔保健教育および歯科口腔保健行動の現状を明らかにするとともに、各教育課程間で比較することで教育課程間の差を明らかにすることを目的とした。【方法】 N 大学の各教育課程(管理栄養士、看護師、芸術系、養護教諭、保育士)に在籍する女子大生440名を対象とし、口腔清掃行動、歯科受診・受療行動、審美性について学習状況を現在の行動に関するアンケート調査を実施した。【結果】 口腔清掃行動を学習した者の割合は、養護教諭(73.2%)および保育士(64.3%)が、高く、歯科受診・受療行動については養護教諭(58.9%)が他の教育課程よりも有意に高かった。歯科口腔保健行動では、看護師の歯磨き回数が2.3回と最も多く、歯磨きの際に工夫をしている者の割合が養護教諭で64.3%と有意に高い割合であった。養護教諭において歯磨きの際の工夫は学内の「演習・実験・実習」で口腔清掃行動を学習していたことと有意な関連が見られた(P=0.018)。【結論】 学習した者の割合は、口腔清掃行動については養護教諭および保育士、歯科受診・受療行動については養護教諭で高い結果が得られた。歯科口腔保健行動では看護師で歯磨き回数が多く、養護教諭で歯磨きの際の工夫する者の割合が高い結果が得られた。歯磨きの際の工夫は、講義よりも演習・実験・実習での学習が関係していることが明らかになった。Tooth loss during adulthood not only negatively affects future health, but also contributes to a reduced quality of life, and dental and oral health education for university students is important for early prevention of such dental problems. The objective of the present study was to clarify the current state of dental and oral health education and dental and oral health behavior, and to compare and contrast various curricula.The study targeted 440 female university students enrolled in various career-oriented curricula (registered dietitian, registered nurse, arts, school nurse, nursery teacher) at N University, who filled out questionnaires about their current behavior in terms of oral cavity cleaning behavior, dental visits and health-care seeking behavior, and esthetics in order to ascertain learning conditions in these areas.Fairly high percentages of respondents had learned about oral cavity cleaning behavior (73.2% for students in the school nurse program and 64.3% for those in the nursery teacher program), while the number of students in the school nurse program who had learned about dental visits and health-care seeking behavior (58.9%) was significantly higher than for students in other curricula. In terms of dental and oral health behavior, nursing students had the highest rate of tooth brushing, at 2.3 times, while those studying to become school nurses had a significantly higher percentage of respondents who came up with ways to thoroughly brush their teeth, at 64.3%.Among those studying to become school nurses, there was a significant relationship between finding ways to thoroughly brush teeth and having learned about oral cavity cleaning behavior through practice, experimentation, and hands-on training at school (P=0.018).In terms of percentages of respondents who had learned about these subjects, high results were obtained from those studying to become school nurses and nursery teachers in the area of oral cavity cleaning behavior, while those studying to become school nurses had high frequency of dental visits and health-care seeking behavior. In dental and oral health behavior, nursing students brushed their teeth the highest number of times, and the school nurse program had a high proportion of students who found ways to thoroughly brush their teeth. The results showed that finding ways to thoroughly brush teeth was more strongly related to learning through practice, experimentation, and practicum than through lectures

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